Transcription of Sample Title IX Complaint and Investigation Forms
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Sample Title IX Complaint and Investigation Forms 1 Title IX Formal Complaint Form PURPOSE: The purpose of the Title IX formal Complaint process is to inform the District of allegations of sexual harassment, sexual violence and sex discrimination in violation of Title IX of the Education Amendments of 1972 ( Title IX ) so that the District may take appropriate action. INSTRUCTIONS: Individuals alleging Title IX sexual harassment and requesting a review are required to complete this form and submit it to the Title IX Coordinator as soon as possible after the occurrence of the alleged harassment. 1. Name of Complainant:_____ _____ Home Address City/State/Zip Home Phone School: _____ Grade: _____ 2. Name of Respondent: _____ 3. Nature of Complaint : Please describe the action(s) you believe may be sexual harassment, including complaints of sexual violence, in violation of Title IX and identify with reasonable particularity any person(s) you believe may be responsible.
The purpose of the Title IX formal complaint process is to inform the District of allegations of sexual harassment, sexual violence and sex discrimination in violation of Title IX of the Education Amendments of 1972 (“Title IX”) so that the District may take appropriate action.
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